Individual
MR. PETER EDWARD BABCOCK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
520 N ELAM AVE, GREENSBORO, NC 27403-1127
(336) 547-1700
Mailing address
PO BOX 890195, CHARLOTTE, NC 28289-0195
(336) 547-1877
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
187568
MEDCOST
NC
05
—
7003794
—
NC
Enumeration date
06/14/2006
Last updated
07/09/2007
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